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Costs

Find your TRICARE costs, including copays,
enrollment fees, and payment options.

Costs for Retired Service Members, Their Families and Other Beneficiaries

These costs are effective 1/1/2018.
Service Cost
Annual Deductible Group AIf you or your sponsor’s initial enlistment or appointment occurred before January 1, 2018, you are in Group A.:
  • Individual: $150
  • Family: $300
Group BIf you or your sponsor’s initial enlistment or appointment occurs on or after January 1, 2018, are in Group B.:
  • Network:
    • Individual: $150
    • Family: $300
  • Non-Network:
    • Individual: $300
    • Family: $600

Note: Non-active duty family members in Group B are subject to separate in-network and out-of-network deductibles. Reaching the deductible level of one does not remove the need to pay for the other.

Ambulance Services Group A:
  • Network: $98
  • Non-Network: 25% of allowable charge
Group B:
  • Network: $60
  • Non-Network: 25% of allowable charge
Ambulatory Surgery (Same Day) Group A: Group B:
  • Network: $95
  • Non-Network: 25% of allowable charge
Mental Health (Inpatient) See TRICARE Mental Health Costs
Mental Health (Partial Hospitalization) See TRICARE Mental Health Costs

Mental Health (Outpatient)

See TRICARE Mental Health Costs
Clinical Preventive Services Network:$0
Non-network: $0 for the following services:
  • Cancer screenings* (colorectal, breast, cervical, prostate)
  • Immunizations*
  • Well-child care for children under age 6 (birth through age 5)

*This includes the office visit for beneficiaries age 6 and older when a covered cancer screening or immunization is provided during the visit.

For all other preventive services, non-network: 25% of allowable charge

DME, Prosthetic Devices, Medical Supplies Network: 20% of negotiated fee
Non-Network: 25% of allowable charge
Emergency Services Group A:
  • Network: $109
  • Non-Network: 25% of allowable charge
Group B:
  • Network: $80
  • Non-Network: 25% of allowable charge
Home Health Care

$0

Note: You may have separate costs for additional services when receiving home health care. For example, DME, drugs, vaccines, orthotics/prosthetics, and nutritional therapy, among others.

Hospice Care $0
Hospitalization (Inpatient Care) Group A:
  • Network: 25% of allowable hospital charge ($250 per day maximum) plus 20% of allowable charge for separately billed services
  • Non-Network: 25% of allowable hospital charge ($901 per day maximum) plus 25% of allowable charge for separately billed services
Group B:
  • Network: $175 per admission
  • Non-Network: 25% of allowable charge
Immunizations $0
Laboratory and X-ray Network: $0
Non-Network: 25% of allowable charge
Maternity (office visits and hospitalization for delivery planned in a hospital in an inpatient setting) Group A:
  • Network:
    • 25% of allowable hospital charge ($250 per day maximum) plus 20% of allowable charge for separately billed services
  • Non-Network:
    • 25% of allowable hospital charge ($901 per day maximum) plus 25% of allowable charge for separately billed services
Group B:
  • Network: $175 for hospital admission
  • Non-Network: 25% of allowable charge
Maternity (office visits for delivery planning in a TRICARE-authorized birthing center) Group A:
  • Network: 20% of negotiated fee for delivery
  • Non-Network: 25% of allowable charges
Group B:
  • Network: $95 for delivery
  • Non-Network: 25% of allowable charges
Maternity (office visits for delivery planned at home or other setting) Group A:
  • Network: $35 (Primary) or $45 (Specialty)
  • Non-Network: 25% of allowable charge
Group B:
  • Network: $25 (Primary) or $40 (Specialty) 
  • Non-Network: 25% of allowable charge
Newborn Care Group A:
  • Network:
    • Days 1 - 3: $0
    • Day 4+: 25% of allowable hospital charge ($250 per day maximum) plus 20% of allowable charge for separately billed services
  • Non-Network:
    • Days 1 - 3: $0
    • Day 4+: 25% of allowable hospital charge ($250 per day maximum) plus 25% of allowable charge for separately billed services
Group B:
  • Network: $0
  • Non-Network: 25% of allowable charge

Note: If any family member is enrolled in TRICARE Prime, the newborn is also covered by Prime for up to the first 90 days and costs are $0.

Outpatient Visit Group A:
  • Network:
    • Primary Care: $28
    • Specialty Care: $41
  • Non-Network: 25% of allowable charge
Group B:
  • Network:
    • Primary Care: $25
    • Specialty Care: $40
  • Non-Network: 25% of allowable charge
Skilled Nursing (Inpatient) Group A:
  • Network: 25% of allowable hospital charge ($250 per day maximum) plus 20% of allowable charge for separately billed services
  • Non-Network: 25% of allowable charge
Group B:
  • Network: $50 per day
  • Non-Network: 20% of allowable charge ($300 per day maximum)

Only available in the U.S. and U.S. Territories.

Urgent Care

Group A:
  • Network: $28
  • Non-Network: 25% of allowable charge
Group B:
  • Network: $40
  • Non-Network: 25% of allowable charge
Enrolled in TRICARE Young Adult?

Newborn care is not covered unless the father of the child is a uniformed service member.

Last Updated 3/20/2018